1991, 10-01 Permit: 91002797 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane Conty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91002797 :ISSUED PERMIT DATE= 10/01 /91 PAGE= 01
*********** **************** PERMIT INFORMATION ** *** *** ******** *****
SITE STREET= 11411 E 26TH AVE PARCEL4= 28543-3228
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 001 393 PLAT NAME= KOKOMO TOWNSITE
BLOCK- 32 LOT= 21 ZONE= AG%UB DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i WATER
OWNER= UNKNOWN PHONE=
. OWNER= 11411 E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING
CONTACT,
FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EAER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 14i562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE
FEE Y iO. 00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/01 /91 7122 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EWER PERMI PERMIT 50 .00 50 .00 . 00
------------- ------------ -------------
50.00 50. 00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT 7HE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES , ECT ,
1
CALL-BEFORE-YOU- DIG- (45"-900O) - � '
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INE|!RF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE EEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *** *** **
******* * 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*** ** *********************** THANK YOU *********************************